Date of Request: Company name Contact person and title: E

Canada-Israel Industrial
Research & Development
Foundation
Fondation Canada Israël
Pour la Recherche et le
Développement Industriels
Date of Request:
Company name
Contact person and title:
E-mail:
Phone number:
Mobile number:
Website:
SECTION 1: Proposed Technology Partnership Project
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Proposal Name
Technology Sector(s)
Subject of Proposal
Strategic Objective(S)
Key Project Components
Keywords
Work to be carried out by the partner
SECTION 2: Profile of Partner Sought
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Profile of ideal technology partner
Core technological competencies and expertise
Other essential qualifications (e.g. ownership, track record)
SECTION 3: Information on Your Company
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Business sector
Company mission or core functions
Date of establishment
Ownership (if public and traded, add stock exchange and ticker symbol)
Parent organizations, if applicable
Annual revenue for the last fiscal year
Total number of employees
Number of employees in R&D
Key products sold or services provided
Geographic markets and key clients
Company core technical competences
Key R&D programs and activities
Examples of accomplishments
Company strategic orientation